Organization
BRIAN E DUBOW M D A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN E DUBOW M.D. (PRESIDENT)
(310) 275-8855
Entity
Organization
Contact information
Practice address
435 N ROXBURY DR, SUITE 204, BEVERLY HILLS, CA 90210-5027
(310) 275-8855
(323) 848-4290
Mailing address
435 N ROXBURY DR, SUITE 204, BEVERLY HILLS, CA 90210-5027
(310) 275-8855
(323) 848-4290
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
10/05/2015
Last updated
11/04/2015
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